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Pamela Elaine Omenukwa, PSS
Peer Specialist in Pontiac, Michigan
NPI 1720715758

Pamela Elaine Omenukwa is a Peer Specialist based in Troy, MI. Pamela Elaine Omenukwa practices in Pontiac, MI and has the professional credentials of PSS. The NPI Number for Pamela Elaine Omenukwa is 1720715758 and holds a License No. (Michigan).

The current practice location address for Pamela Elaine Omenukwa is 1685 Baldwin Ave, Pontiac, MI and can be reached out via phone at 248-706-3450.

Location: 1685 Baldwin Ave, Pontiac, MI, 48083-2982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720715758
Provider Name
Pamela Elaine Omenukwa
Credential
PSS
Provider Entity Type
Individual
Gender
Female
Address
1685 Baldwin Ave, Pontiac, MI, 48083-2982
Phone Number
248-706-3450
Fax Number
Provider Enumeration Date
08/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1685 Baldwin Ave
City
Pontiac
State
Michigan
Zip
48340-1242
Phone Number
248-706-3450
Fax Number
person
Provider Business Mailing Address Details
Address
1685 Baldwin Ave
City
Pontiac
State
Michigan
Zip
48340-1242
Phone Number
248-706-3450
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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